Rocky Mountain Research StationRocky Mountain Research Station
Sample Safety Orientation and PPE Training Checklist
      Employee:Date of Review:
      DateInitial
      Health & SafetyReview of Safety Code Handbook
      Review of Safety and Health Action Plans
      Review of Occupant Emergency Plan/Workplace Violence
      Radio Procedures
      Explanation of Job Specific Hazards (JHA's)
      29 CFR Part 1960 (Required for Supervisors)
      Safety TrainingCPR/First Aid Training
      Laboratory Safety Training
      Bloodborne Pathogen Training - Yearly Refresher (Required yearly for those 
      enrolled in the program and new hires)
      Lyme Disease Training - Yearly Refresher
      HIV/AIDS Training (Annually - Executive Order)
      Personal Protective Equipment & Supplies Training
      When to wear, what PPE to wear, how to wear and adjust, limitations of 
      PPE, proper care, maintenance, useful life and disposal. (Reference Health 
      and Safety Code Handbook, 29 CFR 1910.132 to 1910.140, etc.)
      Hazard Communications Training
      Location and use of Material Safety Data Sheets (MSDS's), chemical 
      labeling procedures, and Right-to-Know law.
      Ergonomics Training Facility Training
      Facility SafetyLocation of First Aid/fluids Barrier Kit
      Location of emergency shower and eye wash stations.
      Location of fire alarms and fire extinguishers
      Building evacuation procedures
      Locking office and compound after hours
      Hazardous Material Storage and Disposal Procedures
      Vehicle SafetyDefensive Driving Training (every 3 years)
      Vehicle Operation Standards
      Log Books
      What to do if involved in an accident
      Hazardous Material Transportation Training
      Special Vehicles/Equipment
      ____4X4's          ____4-Wheelers             ____Trailers
      ____Aviation    ____Snowmobiles         ____Motorcycles
      Certification for MV Operation (annually)
      Field SafetyEmergency First Aid/Medical Attention (Radio Comm., 
      Evacuation. Plan, Tailgate Safety Session, and JHA's)
      Eye, Face, Head, Hand, Foot and Hearing Protection, etc. (Project 
Specific)
      Proper Field Clothing (Project Specific)
      Standards for Survival Training
      Chainsaw Training

TRAINING DOCUMENT FOR PERSONNEL FILE
I have received the information and training as dated and initialed above.
Signature of Employee: ____________________             Date: ____________
Signature of Supervisor: ___________________             Date: ____________
Original: To be retained in employee's file